Antibiotic prophylaxis in ultrasound guided transrectal prostate biopsy
P R Sieber1, F M Rommel, V E Agusta
1Urological Associates of Lancaster, Ltd., Pennsylvania.
Purpose:
A retrospective review of a large group of transrectal ultrasound guided biopsies was performed to determine the symptomatic urinary tract infection rate associated with a consistent and defined antibiotic prophylaxis regimen.
Materials And Methods:
A total of 4,439 biopsies was performed using an 18 gauge needle with ultrasound guidance. Patients were treated with 500 mg. ciprofloxacin twice daily for 8 doses beginning the day before biopsy.
Results:
Of 5 symptomatic urinary tract infections noted 3 were complicated.
Conclusions:
These data demonstrate the low infection rate associated with this prophylaxis regimen.
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